NR 464 - EXAM 3 NEWEST ACTUAL EXAM
NR 464 - EXAM 3 NEWEST ACTUAL EXAM COMPLETE 100
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+ (CHAMBERLAINE
COLLEGE OF NURSING)
The nurse is caring for a client with acquired immunodeficiency syndrome and detects early
infection with Pneumocystis jiroveci by monitoring the client for which clinical manifestation?
1. Fever
2. Cough
3. Dyspnea at rest
4. Dyspnea on exertion - 2. Cough
Pneumocystis jiroveci pneumonia (PCP) is a fungal infection and is a common opportunistic
infection. The client with P. jiroveci infection usually has a cough as the first sign. The cough
begins as nonproductive and then progresses to productive. Later signs and symptoms include
fever, dyspnea on exertion, and finally dyspnea at rest.
A client with acquired immunodeficiency syndrome (AIDS) has a concurrent diagnosis of
histoplasmosis. During the assessment, the nurse notes that the client has enlarged lymph
nodes. How should the nurse interpret this assessment finding?
1. The histoplasmosis is resolving.
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, NR 464 - EXAM 3 NEWEST ACTUAL EXAM
2. The client has disseminated histoplasmosis infection.
3. This is a side effect of the medications given to treat AIDS.
4. The client probably has another infection that is developing. - 2. The client has disseminated
histoplasmosis infection.
Histoplasmosis is caused by Histoplasma capsulatum and usually starts as a respiratory infection
in the client with AIDS and then becomes a disseminated infection, with enlargement of lymph
nodes, spleen, and liver. The client experiences dyspnea, fever, cough, and weight loss. The
remaining options are incorrect.
The nurse is caring for a client with acquired immunodeficiency syndrome (AIDS) who is
experiencing night fever and night sweats. Which nursing interventions would be helpful in
managing this symptom? Select all that apply.
1. Keep liquids at the bedside.
2. Place a towel over the pillowcase.
3. Make sure the pillow has a plastic cover.
4. Keep a change of bed linens nearby in case they are needed.
5. Administer an antipyretic after the client has a spike in temperature. - 1. Keep liquids at the
bedside.
2. Place a towel over the pillowcase.
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, NR 464 - EXAM 3 NEWEST ACTUAL EXAM
3. Make sure the pillow has a plastic cover.
4. Keep a change of bed linens nearby in case they are needed.
For clients with AIDS who experience night fever and night sweats, the nurse may offer the
client an antipyretic of choice before the client goes to sleep rather than waiting until the client
spikes a temperature. Keeping a change of bed linens and night clothes nearby for use also is
helpful. The pillow should have a plastic cover, and a towel may be placed over the pillowcase if
diaphoresis is profuse. The client should have liquids at the bedside to drink.
A client with acquired immunodeficiency syndrome (AIDS) is experiencing nausea and vomiting.
The nurse should include which measure in the dietary plan?
1. Provide large, nutritious meals.
2. Serve foods while they are hot.
3. Add spices to food for added flavor.
4. Remove dairy products and red meat from the meal. - 4. Remove dairy products and red
meat from the meal.
A test for the presence of rheumatoid factor is performed in a client with a diagnosis of
rheumatoid arthritis (RA). What result should the nurse anticipate in the presence of this
disease?
1. Neutropenia
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, NR 464 - EXAM 3 NEWEST ACTUAL EXAM
2. Hyperglycemia
3. Antigens of immunoglobulin A (IgA)
4. Unusual antibodies of the IgG and IgM type - 4. Unusual antibodies of the IgG and IgM type
Rheumatoid arthritis is a chronic, progressive, systemic inflammatory autoimmune disease
process that affects primarily the synovial joints. The test for rheumatoid factor detects the
presence of unusual antibodies of the IgG and IgM type, which develop in a number of
connective tissue diseases. The other options are incorrect.
A complete blood cell count is performed on a client with systemic lupus erythematosus (SLE).
The nurse suspects that which finding will be reported with this blood test?
1. Increased neutrophils
2. Increased red blood cell count
3. Increased white blood cell count
4. Decreased numbers of all cell types - 4. Decreased numbers of all cell types
In the client with SLE, a complete blood cell count commonly shows pancytopenia, a decrease in
all cell types. This probably is caused by a direct attack on all blood cells or bone marrow by
immune complexes. The other options are incorrect.
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NR 464 - EXAM 3 NEWEST ACTUAL EXAM COMPLETE 100
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+ (CHAMBERLAINE
COLLEGE OF NURSING)
The nurse is caring for a client with acquired immunodeficiency syndrome and detects early
infection with Pneumocystis jiroveci by monitoring the client for which clinical manifestation?
1. Fever
2. Cough
3. Dyspnea at rest
4. Dyspnea on exertion - 2. Cough
Pneumocystis jiroveci pneumonia (PCP) is a fungal infection and is a common opportunistic
infection. The client with P. jiroveci infection usually has a cough as the first sign. The cough
begins as nonproductive and then progresses to productive. Later signs and symptoms include
fever, dyspnea on exertion, and finally dyspnea at rest.
A client with acquired immunodeficiency syndrome (AIDS) has a concurrent diagnosis of
histoplasmosis. During the assessment, the nurse notes that the client has enlarged lymph
nodes. How should the nurse interpret this assessment finding?
1. The histoplasmosis is resolving.
1|Page
, NR 464 - EXAM 3 NEWEST ACTUAL EXAM
2. The client has disseminated histoplasmosis infection.
3. This is a side effect of the medications given to treat AIDS.
4. The client probably has another infection that is developing. - 2. The client has disseminated
histoplasmosis infection.
Histoplasmosis is caused by Histoplasma capsulatum and usually starts as a respiratory infection
in the client with AIDS and then becomes a disseminated infection, with enlargement of lymph
nodes, spleen, and liver. The client experiences dyspnea, fever, cough, and weight loss. The
remaining options are incorrect.
The nurse is caring for a client with acquired immunodeficiency syndrome (AIDS) who is
experiencing night fever and night sweats. Which nursing interventions would be helpful in
managing this symptom? Select all that apply.
1. Keep liquids at the bedside.
2. Place a towel over the pillowcase.
3. Make sure the pillow has a plastic cover.
4. Keep a change of bed linens nearby in case they are needed.
5. Administer an antipyretic after the client has a spike in temperature. - 1. Keep liquids at the
bedside.
2. Place a towel over the pillowcase.
2|Page
, NR 464 - EXAM 3 NEWEST ACTUAL EXAM
3. Make sure the pillow has a plastic cover.
4. Keep a change of bed linens nearby in case they are needed.
For clients with AIDS who experience night fever and night sweats, the nurse may offer the
client an antipyretic of choice before the client goes to sleep rather than waiting until the client
spikes a temperature. Keeping a change of bed linens and night clothes nearby for use also is
helpful. The pillow should have a plastic cover, and a towel may be placed over the pillowcase if
diaphoresis is profuse. The client should have liquids at the bedside to drink.
A client with acquired immunodeficiency syndrome (AIDS) is experiencing nausea and vomiting.
The nurse should include which measure in the dietary plan?
1. Provide large, nutritious meals.
2. Serve foods while they are hot.
3. Add spices to food for added flavor.
4. Remove dairy products and red meat from the meal. - 4. Remove dairy products and red
meat from the meal.
A test for the presence of rheumatoid factor is performed in a client with a diagnosis of
rheumatoid arthritis (RA). What result should the nurse anticipate in the presence of this
disease?
1. Neutropenia
3|Page
, NR 464 - EXAM 3 NEWEST ACTUAL EXAM
2. Hyperglycemia
3. Antigens of immunoglobulin A (IgA)
4. Unusual antibodies of the IgG and IgM type - 4. Unusual antibodies of the IgG and IgM type
Rheumatoid arthritis is a chronic, progressive, systemic inflammatory autoimmune disease
process that affects primarily the synovial joints. The test for rheumatoid factor detects the
presence of unusual antibodies of the IgG and IgM type, which develop in a number of
connective tissue diseases. The other options are incorrect.
A complete blood cell count is performed on a client with systemic lupus erythematosus (SLE).
The nurse suspects that which finding will be reported with this blood test?
1. Increased neutrophils
2. Increased red blood cell count
3. Increased white blood cell count
4. Decreased numbers of all cell types - 4. Decreased numbers of all cell types
In the client with SLE, a complete blood cell count commonly shows pancytopenia, a decrease in
all cell types. This probably is caused by a direct attack on all blood cells or bone marrow by
immune complexes. The other options are incorrect.
4|Page
